The ClinDx blog surveys PubMed for recent studies that quantify the value of the medical history and physical examination. The ClinDx blog continues the ClinDx listserv at http://clinical.uthscsa.edu/clindx/.

Screening for diabetic neuropathy

The preferred locations for testing according to this systematic review are filled green in the image. As the independent addition of the monofilament to visually inspecting for deformities, pressure marks, cracked skin, infected nails, evidence of prior ulcers, and other findings is not clear in the major trial of screening (http://pubmed.gov/8498761), it seems we should limit our time to testing three points rather than 10.